Community Mental Health Journal

, Volume 36, Issue 4, pp 351–362

A Description of Precipitants of Drug Use Among Dually Diagnosed Patients with Chronic Mental Illness

  • Marisela B. Gomez
  • Annelle B. Primm
  • Ilina Tzolova-Iontchev
  • Walter Perry
  • Hong Thi Vu
  • Rosa M. Crum
Article

DOI: 10.1023/A:1001904811379

Cite this article as:
Gomez, M.B., Primm, A.B., Tzolova-Iontchev, I. et al. Community Ment Health J (2000) 36: 351. doi:10.1023/A:1001904811379

Abstract

In this report, we describe patients' perceptions of the chronological occurrence of their mental illness and substance abuse. The patients were enrolled in a community mental health center and received dual diagnosis treatment from an affiliated psychiatric rehabilitation program. Using a questionnaire designed to address this issue, we assessed patients' perceptions of support currently being received at the treatment program and how beneficial they perceived this support to be. In addition, we assessed why substance use was a coping strategy in times of perceived stress early in life and whether this behavior has changed to date. Assessing the perception of the sequence of co-occurring disorders among patients enables us to better understand the factors that precipitate substance use and exacerbate mental illness. This knowledge may aid in the design of effective treatment strategies for this population of patients.

Copyright information

© Human Sciences Press, Inc. 2000

Authors and Affiliations

  • Marisela B. Gomez
    • 1
  • Annelle B. Primm
    • 2
    • 3
    • 4
  • Ilina Tzolova-Iontchev
    • 5
  • Walter Perry
    • 6
  • Hong Thi Vu
    • 7
  • Rosa M. Crum
    • 8
  1. 1.Johns Hopkins University School of MedicineBaltimore
  2. 2.Department of Psychiatry and Behavioral SciencesJohns Hopkins University School of MedicineUSA
  3. 3.Department of Health Policy and ManagementJohns Hopkins University School of Hygiene and Public HealthUSA
  4. 4.Community Psychiatry ProgramJohns Hopkins HospitalBaltimore
  5. 5.Department of Psychiatry and Behavioral SciencesJohns Hopkins University School of MedicineBaltimore
  6. 6.Alliance, Inc.Baltimore
  7. 7.Department of MedicineJohns Hopkins University School of MedicineBaltimore
  8. 8.departments of Epidemiology and Mental HygieneJohns Hopkins University School of Hygiene and Public HealthBaltimore